| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $57.61 | $75.17 | $88.43 | |
Aetna
| Professional | $65.29 | $80.87 | $104.48 | |
Ambetter
| Professional | $86.69 | $128.13 | $128.13 | |
Anthem BCBS
| Professional | $64.75 | $81.03 | $116.06 | |
CareSource
| Facility | $55.57 | $74.09 | $96.32 | |
CareSource
| Professional | $85.21 | $97.99 | $120.15 | |
Cigna
| Professional | $67.00 | $98.00 | $141.97 | |
United
| Professional | $79.69 | $98.57 | $158.53 |